KRYSTINA L KIENAST


Address: 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462
Phone: 4149555990

KRYSTINA L KIENAST (NPI# 1255839338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255839338
Entity Type Individual
Full Name KRYSTINA L KIENAST
Other Name KRYSTINA L KOEPP
Credential FNP-BC
Practice Address 1155 N Mayfair Rd
Wauwatosa
WI 53226-3462
Mailing Address 343 Evergreen Ln
Pewaukee
WI 53072-2403
Practice Telephone 4149555990
Mailing Telephone 2627190519
Enumeration Date 2018-01-24
Last Update Date 2018-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2017032701 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1155 N MAYFAIR RD
City WAUWATOSA
State WI
Zip Code 53226-3462

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154947224 Froedtert & The Medical College of Wisconsin Community Physicians Inc Durable Medical Equipment & Medical Supplies 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2020-06-24
1689222515 Froedtert Health Pharmacy LLC Pharmacy 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2019-09-04
1104387042 Deanne A Walker Dupree Nurse Practitioner 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2019-03-25
1346701273 Spencer Klein Student in an Organized Health Care Education/Training Program 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2019-03-25
1023583937 Melissa Lynn Wojtkowski Nurse Practitioner 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2018-10-06
1417471962 Abigayle Musholt Physician Assistant 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2017-07-26
1245775667 Kimberly Noelle Schroeder Occupational Therapist 1155 N Mayfair Rd, Attn: Hand Center, Second Floor, Wauwatosa, WI 53226-3462 2016-12-20
1821530684 Allison Nicole Fladten Nurse Practitioner 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2016-11-10
1942678081 Elyse Weitzman Pharmacist 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2015-09-07
1275913733 Alexander Henry Slocum Jr. Surgery 1155 N Mayfair Rd, Wauwatosa, WI 53226 2015-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700400488 Aaliyah Camille Dorsey-brown Nurse Practitioner 9617 W Grantosa Dr, Wauwatosa, WI 53222-1404 2020-05-29
1972912764 Kelle Joell Tomatz Nurse Practitioner 10625 W North Avenue Suite 102, Emergency Medicine Specialists, S.c., Wauwatosa, WI 53266-0000 2014-08-06
1184049595 Sandi K Kindig Oguzlu Nurse Practitioner 2949 N Mayfair Rd, Wauwatosa, Wauwatosa, WI 53222-4304 2014-02-20
1588918890 Janine Allison Kolinski Nurse Practitioner 10012 W. Capitol Dr., Suite 101, Wauwatosa, WI 53222 2012-11-08
1427244599 Jacinda Hurt Nurse Practitioner 10800 W Capitol, Wauwatosa, WI 53222 2007-09-21
1437796091 Lisa Elliott Nurse Practitioner 959 N Mayfair Rd, Wauwatosa, WI 53226-3465 2019-12-03
1457902108 Caleb Samuel Young Nurse Practitioner 10701 W Research Dr, Wauwatosa, WI 53226-3452 2019-09-24
1508411273 Amanda Grimshaw Nurse Practitioner 10701 W Research Dr, Wauwatosa, WI 53226-3452 2019-08-08
1639731763 Ryan A Schmidt Nurse Practitioner 10625 W North Ave Ste 102, Wauwatosa, WI 53226-2315 2019-06-28
1558929091 Pamela Ann Anderson Nurse Practitioner 201 N Mayfair Rd Fl 2, Wauwatosa, WI 53226-4216 2019-05-30
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Competitor

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City WAUWATOSA
Zip Code 53226

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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